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Maine rates for HCPCS 0635T

Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.35 / $219.17 / $232.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.64 / $297.64 / $372.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.32 / $297.62 / $536.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $203.95 / $232.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.69 / $247.32 / $452.48